Claims Examiner

2 weeks ago

Waterloo ON, Canada Ontario Teachers Insurance Plan Full time

Reporting to the Manager, Long Term Disability Services you’ll beresponsible for providing service, support and assistance to insured members throughout the long term disability (LTD) claims process. This includes assisting local union representatives in any matters regarding LTD claims management, as well as working cooperatively with both internal and external stakeholders as required. Provides service, support and guidance to insured members throughout the LTD claims process including the initial application. This includes meeting in person, virtually or telephonically to answer questions, provide guidance, complete forms and obtaining employment and medical details or other information as it relates to the insured member’s claim for LTD and group life benefits.
This includes communicating with medical practitioners, local union representatives and other stakeholders as required.
Provides assistance to insured members in obtaining other income replacement benefits, such as Canada Pension Plan (CPP) disability benefits. When needed, the senior disability service representative acts as the insured member’s assistant at the CPP appeal to the Social Security Tribunal (SST).
Builds, maintains and strengthens relationships with local and provincial unions. Establishes a professional image of the organization for insured members, local unions, medical practitioners, school boards and other stakeholders. This includes promoting OTIP in a positive manner, building and maintaining positive interactions, and developing and/or performing public relations activities.
Obtains a comprehensive understanding of medical information and corresponding claim decisions on file and provides insured members and local union representatives with detailed and thorough explanations of the issues.
This includes detecting gaps in key processes, recommending solutions, and implementing process improvements to achieve a higher level of quality service.
This includes identifying short-and long-term goals, providing relevant and timely information during discussions, recommending appropriate courses of action, and participating in or leading special projects as required.
Responds to stakeholder enquiries regarding the ongoing LTD claims process. This includes negotiating through conflicts and contentious claim issues among stakeholders.
A minimum of five years’ experience in Group Disability Insurance.
Strong knowledge of insurance principles and practices, industry standards and legal and contractual obligations.
The demonstrated ability to use negotiating techniques to effectively resolve complex conflicts.
Superior time management and organizational skills to manage competing priorities, including project management skills.
Intermediate knowledge of Microsoft Office Suite applications.
Insurance courses are considered an asset.
The ability to communicate in French is considered an asset.
Valid driver’s license is required
We offer best-in-class pension and benefits, total reward programs and comprehensive mental wellness supports to set you up for every success in and outside of work. Defined benefit pension plan for a financially confident retirement
100% coverage of approved continuing education and licensing fees (including RIBOcourses in Ontario)
Flexible work-from-home and hybrid options
If you are interested in this opportunity, please apply online.
Upon individual request, we will endeavor to remove any barrier to the recruitment and selection processes and provide accommodations for persons with disabilities.

  • Senior Bodily Injury Examiner

    1 week ago

    Waterloo, Canada Curo Claims Services Inc. Full time

    Company DescriptionWho We AreWith every job, there's always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It's because at some point, we've all needed someone there for us.At the OTIP Group of Companies (OGC), we believe that something special happens when employees feel valued for the work they do,...

  • Claims Examiner

    6 days ago

    Waterloo, ON, Canada Heartland Farm Mutual Inc. Full time

    Located in Ontario and Nova Scotia, Heartland Mutual Insurance strives to be the Best Mutual. Heartland Mutual Insurance has an excellent opportunity in our Claims Department for a Claims Representative I. Manage a caseload of property claims for customers across Ontario and Nova Scotia. Ensure that claims are adjusted to the service standards and...

  • Field Examiner

    3 weeks ago

    Waterloo, ON, Canada Ontario Teachers Insurance Plan Full time

    The Senior Bodily Injury Examiner is responsible for the investigation, quantification, analysis, adjustment and settlement of complex property and casualty claims in excess of $250,000. This role will focus on quality and customer service, by assessing and assigning the appropriate expert and vendor to each claim. The adjustment will be conducted in an...

  • Claim Examiner

    3 weeks ago

    Toronto, ON, Canada Organization: Sutton Special Risk Full time

    Your career opportunity will be visible on the CPBI website for a 60 days period and will be viewed by more than 5000 visitors! Become a CPBI member and save 50$ on your posting! Congratualtions to our most recent Hall of Fame Inductee, Sherry Lee Gregory An interview with our Regional Council Member The CPBI Regional Council of Ontario is pleased to...

  • Claims Examiner

    3 days ago

    Cambridge, ON, Canada Intact Full time

    Our employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you’re bringing this purpose to life alongside a passionate community of experts. Feel empowered to learn and grow while being valued for who you are– here, diversity is a strength. Our...

  • Administrative Claims Examiner

    6 days ago

    Peterborough, ON, Canada ACTIVATE GROUP LIMITED Full time

    Salary: £24,000, rising to £25,200 post probation, plus £300 quarterly bonus. We’re looking for a Claims Handler to be part of our success story. **Listed in the 2022 Sunday Times 100: Britain’s fastest-growing private companies. **To manage vehicle claims from a range of customers, ensuring all our clients and customers receive a professional...

  • Senior Bodily Injury Examiner

    3 weeks ago

    Waterloo, ON, Canada Ontario Teachers Insurance Plan Full time

    With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us. At the OTIP Group of Companies (OGC), we believe that something special happens when employeesfeel valued forthe work they do, supportedasthe people they...

  • Senior Bodily Injury Examiner

    3 weeks ago

    Waterloo, Canada Ontario Teachers Insurance Plan Full time

    With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us.At the OTIP Group of Companies (OGC), we believe that something special happens when employeesfeel valued forthe work they do, supportedasthe people they...

  • Senior Bodily Injury Examiner

    3 weeks ago

    Waterloo, Canada Ontario Teachers Insurance Plan Full time

    With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us.At the OTIP Group of Companies (OGC), we believe that something special happens when employeesfeel valued forthe work they do, supportedasthe people they...

  • Senior Bodily Injury Examiner

    3 weeks ago

    Waterloo, Canada Ontario Teachers Insurance Plan Full time

    With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us.At the OTIP Group of Companies (OGC), we believe that something special happens when employeesfeel valued forthe work they do, supportedasthe people they...

  • Senior Bodily Injury Examiner

    3 weeks ago

    Waterloo, Canada OTIP RAEO Full time

    Company Description Who We Are With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us. At the OTIP Group of Companies (OGC), we believe that something special happens when employees feel valued...

  • Claims Supervisor

    3 weeks ago

    Mississauga, ON, Canada People Corporation Full time

    We are seeking a Claims Supervisor to join our BPA team in Mississauga. Please note that this position is 100% in-office. Hours: 8:30am - 4:30pm Monday to Friday. The Claims Supervisor assists with coordinating the activities for a of approximately 8-10 employees at BPA Mississauga location and provides support for all staff at our field offices who...

  • Group Short Term Disability Claims Specialist

    3 days ago

    Waterloo, Canada Equitable Life of Canada Full time

    At Equitable Life of Canada, we realize that your work life is not just about performing a job; it's about being part of a workplace that helps you grow and reach your full potential. Within our friendly and collaborative work environment, we recognize that the key to our growth and success is a dedicated, motivated and customer-responsive staff. Join...

  • Global Corporate and Specialty

    6 days ago

    Oakville, ON, Canada Aviva Full time

    Individually we are people, but together we are Aviva. Individually these are just words, but together they are our Values – Care, Commitment, Community, and Confidence. We have an excellent opportunity in our Global Corporate & Specialty (GCS) Auto claims team. We are actively recruiting for a Sr. Commercial Auto Claims Specialist based out of our...

  • Bilingual Disability Case Manager

    7 days ago

    Waterloo, Canada RWAM Insurance Administrators Inc. Full time

    **Department: Disability Management** **Role: Bilingual Disability Case Manager** **Why RWAM?** Are you looking to work with a dedicated team of professionals making a difference in the lives of employers and employees every day? This position will be based out of our head office in the rapidly growing town of Elmira, just minutes from Waterloo, where you...

  • Supervisor, data control

    3 weeks ago

    Mississauga, ON, Canada People Corporation Full time

    We are seeking a Claims Supervisor to join our BPA team in Mississauga. Please note that this position is 100% in-office. Hours: 8:30am - 4:30pm Monday to Friday. The Claims Supervisor assists with coordinating the activities for a of approximately 8-10 employees at BPA Mississauga location and provides support for all staff at our field offices who...

  • Assistant Manager, Insurance

    3 weeks ago

    Mississauga, ON, Canada EllisDon Full time

    We recognize that the construction industry is changing at a rapid pace and we continually strive to be at the forefront. Our core values empower people to deliver great careers and develop creative solutions for complex problems on some of the most intricate projects. It doesn’t matter what your expertise and craft is – there are no boundaries. We...

  • Disability Analyst

    3 days ago

    Waterloo, Canada Ontario Teachers Insurance Plan Full time

    With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us.At the OTIP Group of Companies (OGC), we believe that something special happens when employeesfeel valued forthe work they do, supportedasthe people they...

  • Disability Analyst

    2 days ago

    Waterloo, Canada Ontario Teachers Insurance Plan Full time

    With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us.At the OTIP Group of Companies (OGC), we believe that something special happens when employeesfeel valued forthe work they do, supportedasthe people they...

  • Disability Analyst

    2 days ago

    Waterloo, Canada Ontario Teachers Insurance Plan Full time

    With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us.At the OTIP Group of Companies (OGC), we believe that something special happens when employeesfeel valued forthe work they do, supportedasthe people they...